How do you decide when to order an EEG to evaluate for non-convulsive status epilepticus in a patient admitted with acute encephalopathy?

This can be a challenging question to answer given the broad differential of acute encephalopathy and how available EEG is at your hospital. At centers with easily available EEG capabilities, the threshold to obtain an EEG will be lower. I will also assume this question is related to patients who ha...

The threshold to order an EEG for a patient with encephalopathy should be quite low. Especially with the advent of rapid EEG systems, I consider using a rapid EEG similar to using POCUS. It is a quick rule-out that can be done over a 1-2 hour period. In general, if an encephalopathic patient is not ...